POSTED UNDER Breast Reduction REVIEWS
49 Years Old Ready for Breast Reduction - Leawood, KS
ORIGINAL POST
I started developing in grade school. Girls would...
bertha123June 6, 2015
I started developing in grade school. Girls would call me " stuffer" until one day I finally showed them! I am currently a DDD/E, and would like to be a B or C. I've been reading reviews for months. I went to the PS on May 29th, and I received a phone call on Thursday letting me know that I have been approved!!! I have BCBS. I have to pay my deductible as it has not yet been met. I love to exercise, but I always have to choose the low impact over high impact because the girls go crazy, and it actually raises my heart rate above my anaerobic threshold. I'm canceling my massage membership today because I will no longer need it for back, neck, and shoulder pain. I'm wondering what kind of top to wear to the hospital, do I need to buy a wedge pillow, and is there anyone out there that is allergic to pain meds and if so what did you take. I will keep posting for others. I know this sight has been, and will continue to be very helpful to myself and many others.
UPDATED FROM bertha123
28 days pre
It's Getting Closer!
bertha123June 8, 2015
It is only four weeks until the big day! Is there anyone out there that has bad reactions to pain meds, and if so what did your doctor give you for pain? I had smart laser lipo done in March and I just used Tylenol but im thinking this is going to be a little more painful!
Replies (3)
June 11, 2015
You will do well! I'm 3 weeks into my recovery and I am doing Great! I was just like you with the low impact exercises because of the heavy breast. I had a massage membership also because of back issues from carrying around these 34 Js!! During your pre-op they'll tell you to wear a button or down top. It's painful the first week after surgery so hopefully you'll find a good soothing Med to help with the discomfort. I would also recommend using stool softness immediately because the anesthesia plus pain meds really screw up the bowels. In addition to the prescription softners I had to also take Ex-lax so you might consider that but check with your doctor.
I'll be checking on you.
UPDATED FROM bertha123
27 days pre
Just got letter from insurance company
bertha123June 9, 2015
I just got my approval letter, but it says if the surgeon is unable to get the required amounts I will be responsible for all costs. Has anyone had this happen?
Replies (13)

June 9, 2015
you should have no problem. my daughter wasn't quite as large and met the requirements easily. good luck!

June 9, 2015
Ha ha, I should hope so! You'd want to make it worthwhile. I had 3kgs in total off mine in April :)

June 9, 2015
How much does it say he has to take out? Your breasts appear to be firm and dense which means the tissue is heavier. If you are wanting to go down 3 cup sizes you should have no trouble meeting typical insurance requirements.
June 9, 2015
oh boy!!! It was my experience (and I just got approved) during a time in my journey for a surgeon that I was told I would not be a candidate for an insurance approved reduction because there was not enough material to reduce. That was quite unbelievable to me and I think it has more to do with the surgeon not wanting to take a patient down so far. I have not received a letter yet so Im not certain how that would work.
June 15, 2015
You can dispute, using your history. Also, if you are insured through your employer, they may have an advocate, and that can speed things up considerably.
I have heard REALLY good results by using an Employer advocate.
I also fell into this same thing.. Percentile (not percentage) and the explanation was vague to the extreme.
If you have the Physio Therapy, Ex-Rays, Back Problems, Migraines, notches in collar bones, etc etc.. on the plan I am on that counts as ONE of the TWO categories you must fill. The second is this mysterious percentile (again, not percentage).
I think it is mysterious because it is a hoop of fire they wish you to jump through repeatedly before they say..
Ohhhhhhhhhhh... Yeah, ok.
I found that the O.o.N. cost was the same as the price of the procedure..
But enough letters and you can get past it. You have to be willing to wait though, in that sort of circumstance. My PS said the pics count for a LOT in disputing that. When getting your picture.. Don't arch back or try to get good posture. (which actually isn't good posture according to my Physo Therapist, it is counter balance, and causes lower back problems). So just relax, and let the weight pull you like it does. Do not fight it, for the photographs. Let those insurers see what fun it is having to support those! and get each DR to write on your behalf, and you should be able to get it covered. It just takes time.
Replies (13)